ASSUMPTIONOFRISK,WAIVERANDINDEMNITYAGREEMENT

(PLEASEREADCAREFULLY)

Warning: BysigningthisAgreement,you are giving-uptherighttosue foranyinjuryordamageshowsoever caused

1. IcertifyIamtheparent/guardianof______("child"),andonbehalfofmyselfandthechild,IherebyrequestthattheFlood SoccerClubofEvansville, and itsteam(s)andother futureandpresentsoccerteams,coaches,managers,representatives,officers,directors,other teammembersandparents,employees,agentsoraffiliates(collectively"Flood")permitmychild,toparticipateinthesportofsoccer,practicesandrelatedactivities(collectively"Soccer").

2. I understand Soccerisaphysical activitywhich involves potentially serious inherent risks which may result in injuryorevendeath. Suchrisks include, but arenot limited to,accidental ornegligent contactwith other persons orproperty, motor Vehicletravel,changingweather,variations interrain,bothmanmadeandnatural,oraccidentsorillnessinpotentiallyremote

locationswithoutimmediateevacuationormedicalfacilities.

  1. Igive myapprovalfor participationinSoccerandtransportationtoandfromthesameandagreetoassumeallrisksandhazardsdirectlyorindirectlyincidentaltoparticipationinSoccer,transportationto orfromSoccerandallotheractivitiesassociatedwithsuchSoccerevents.

4. Iagreeasapreconditiontoparticipationinthe FloodSoccer program,andinfurtherconsiderationofthe Floodprovidingthesame,tobestrictlyboundbythetermsandconditionsofthisAgreement,nowandhereinafterinthefutureuntilnotifiedinwritingotherwise.

5. Inconsiderationfortheprivilegeofparticipationin the FloodSoccer program,Idoherebywaive,releaseandabsolvethe Flood,tothefullestextentpermittedbylaw,fromanyandallcauses ofaction,claims, costs,damages,expenses,judgments,liabilitiesandlosses,includingclaimsofpersonalinjuryto myselforthechild,propertydamage,and/orthirdpartyclaims,arisingdirectlyorindirectlyoutof,orinconnectionwith,said FloodSoccereventsand/ortransportationtoandfrom,whetherthesamearisesby thenegligenceofthe Floodorbyany andallothercommonlaw orstatutorylegalremedies,including,butnotlimitedtoreasonableattorneyfeesandcostsrelatingthereto(collectively"Claims"),excepttotheextentsaidClaimsareduetoanintentionallymaliciousactofthe Flood. Ifurtheragreetoindemnifyandholdharmlessthe Flood fromanyandallsuch causesof action,claims,costs, damages,expenses,judgments,liabilitiesandlosses,includingwithoutlimitationreasonableattorneyfeesandcostsrelatingthereto,whichmaybeincurredindefendingagainstanyofsaidClaims.

6. Ialsoacknowledgeitismyobligationtoinformthe FloodinadvanceofanyactivityoranylimitationthatmightcausemychildtobeunabletosafelyparticipateandcompeteinSoccer. Bysigningthisdocument,IalsoacknowledgethatIamthe parent(s)orlegalguardian(s)oftheabovechildandthatmychildishealthyandfittoplaySoccer.

  1. I grantthe Flood/CMTC the right to use photographs, film records or likenesses ofmy child and me/us forfuture promotionalpurposes. Thisright alsoshallbe granted foruse bythird parties thatmay enter intoanyjoint promotional effort with the Flood/CMTC.
  1. IappreciatethatthisAgreementapplieswhetherthe Floodisatfaultornot,anditlimitstheliabilityofthe Flood'steammembers,coaches,managers,representatives,officers,directors,employees,agents oraffiliatestothesameextentasitlimitstheliabilityofthe Flood,eventhoughsaidpersonsorentitiesmaynotbeconstruedasformalpartiestothisAgreement. Iunderstandthatthe Flood,insecuringexecutionofthis Agreementbymyself,isacting asagentor trusteeonbehalfof,orforthebenefitof,itsteammembers,parents,coaches, managers,representatives,officers,directors,employees,agentsoraffiliates,whoshalltothis extentbe,orbedeemed,tobepartiestothisAgreement. ThisAgreementshallbebindingonallrespectiveheirs,devisees,personalrepresentatives,successorsandassignsofallpartiestothisAgreement. ThisAgreementshallbeconstruedunder,andgovernedby,thelawsof theState ofIndiana,andallpartiesheretoconsentandagreetotheexerciseofjurisdictionoveranymatterarisingin connectionwiththisAgreementshallbeintheSuperiorCourtofVanderburghCounty,Stateof Indiana.

IhavereadandunderstandthisAgreement. Iunderstandthat thisdocumentcontainsapromisenottosuetheFlood/CMTCandareleaseandindemnity for allClaims.

Signatures______

Printed Name______

Street Address______

City______State______Zip Code______

Daytime Phone ( )______Evening Phone: ()______

E-mail Address:______Date:______